This procedure is called revision total hip replacement although both procedures have the same goals to relieve pain and improve function and quality of life revision surgery is different than primary total hip replacement revision hip replacement is a longer more complex procedure. This procedure is called revision total hip replacement although both procedures have the same goals to relieve pain and improve function and quality of life revision surgery is different than primary total hip replacement revision hip replacement is a longer more complex procedure. A complete exchange of a hip replacement done in two stages a first stage consists of the complete removal of the hip replacement cleaning of the bone and implantation of a temporary cement spacer that will allow some hip motion and deliver antibiotics to the hip area this is generally followed by a six week course of intravenous antibiotics. Primary and revision total hip replacement in patients who are jehovahs witnesses nelson cl1 stewart jg author information 1university of arkansas for medical sciences little rock 72205 usa